CISSS de l’Outaouais (CISSSO)

By Trevor Greenway

Chantal Lamarche says that she will do everything in her power to save the Low CLSC from closure. 

The MRC Vallée-de-la-Gatineau prefect said that she has been told by the CISSS de l’Outaouais (CISSSO) that the up-the-line clinic is on the chopping block and could be closed for good, as the regional health authority looks to cut another $30 million from its budget. 

“As [prefect], I refuse to see the disappearance of this local service, which is essential to our community,” wrote Lamarche in an email to the Low Down. “The building also houses home-care nurses, making it a critical point for our citizens. The chronic underfunding of the Outaouais for over 40 years must end. We demand that decisions take into account the reality of our territories.”

The Low CLSC has already been slashed down to one day a week, which has impacted Low residents, many of whom are elderly and immobile and can’t travel to Wakefield or Maniwaki to see a doctor. Lamarche said she is pressuring the CAQ government to “review these cuts and take into account the specific needs of the region.”

“It is imperative that alternative solutions be considered to ensure adequate funding and effective management of resources, thereby ensuring access to quality healthcare for all Outaouais residents,” she said.

CISSSO CEO Marc Bilodeau refused to comment on the potential closure and directed the Low Down to Santé Quebec for comment. Representatives of Quebec’s new non-partisan health department would not grant an interview and instead sent a statement saying that no decisions have been made on the closure of CLSCs in the province. 

“No changes are currently planned for the services offered at the various CLSCs,” wrote Santé Quebec’s media relations department. “Local services are important to the population, particularly those on the outskirts of urban areas. We are working to maintain them, despite the current difficult budgetary context.”

That “difficult budgetary context” is Santé Quebec’s austerity measures, in which it is looking to slash $1.5 billion from the province’s health budget by spring. The CISSSO already cut 800 health positions in the region earlier this spring. Another $30 million still needs to be cut from the CISSSO budget, which is why CLSCs in places like Low could be on the chopping block. 

SOS Outaouais’ Jean Pigeon told the Low Down that because CISSSO already cut services back to one day a week at the Low CLSC, patient numbers will naturally be down. The president of the regional health advocacy group said he worries CISSSO will use this data to show that the clinic isn’t getting used and therefore should be closed. 

“They test it, and then they say, ‘Well, nobody’s going to this point anymore.’ Of course! You’ve closed four days out of five days which you were open,” said Pigeon. “If there’s fewer services to offer, of course there’ll be less people that can use them. And then you shut it down, claiming that there’s no demand. It’s nonsense.”

Low seniors worry about home care 

With the potential closure of the CLSC in Low, seniors are beginning to worry if they will still be able to rely on home-care nurses who are based out of the clinic. Interim director-general of the Paugan Falls Seniors’ Residence Colette Canavan told the Low Down that she worries that it won’t be feasible for some seniors to grow old in Low. With an aging population, she doesn’t know where many of them will go. 

“What’s going to happen now with the cutbacks in home care, which they’ve cut a lot?” said Canavan.  “We’re going to see residents – seniors who are autonomous, but who need help – we’re going to see a possibility of having to say, ‘Sorry, you have to leave.’ So this is far more serious than what first appeared.”

Low council passed a resolution in late March decrying the cuts and demanding a meeting with local officials, including the region’s MNA, Robert Bussière. The motion touches on the potential closure, as well as language barriers for local residents. 

“[Low] stands united with its citizens in protesting these cuts and commits to advocating to the future well-being of all residents, ensuring transparency and proper communication regarding any proposed changes to local services,” the motion read. It was passed at Low’s council meeting on March 25 . 

Gatineau MNA Bussière did not respond to the Low Down’s questions. It’s unclear if he responded to Low council.